Utilization Review Services

At Horizons Health Management Systems, our Utilization Review services are designed to ensure that healthcare delivery is both efficient and effective, adhering to the highest standards of quality and regulatory compliance.

Ensuring Efficient and Effective Healthcare Delivery

At Horizons, our Utilization Review services are meticulously designed to ensure that healthcare delivery is both efficient and effective, adhering to the highest standards of quality and regulatory compliance. We assess the appropriateness of hospital admissions, length of stay, and healthcare services, ensuring that the medical care provided aligns with established guidelines and best practices. Our team collaborates closely with case managers to facilitate smooth patient care transitions and discharge planning, reviewing complex cases to guarantee efficient and effective care. Our commitment to clinical excellence extends to Clinical Documentation Improvement (CDI), where we review clinical documentation for accuracy and completeness, enhancing documentation practices and supporting better patient outcomes.